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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2022, Number 2

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Cir Plast 2022; 32 (2)

Versatile treatment of breast ptosis with circumvertical mastopexy with and without implants

De RDR, Torres-Piña R, Zamora-Madrazo A, Hanan L, Ugalde-Vitelly JA, Martínez-Guzmán A

Language: Spanish
References: 30
Page: 69-81
PDF size: 439.20 Kb.


ABSTRACT

Multiple techniques have been described using diverse pedicles in mastopexy. We present a surgical protocol of serial steps to be used in mastopexy. It is a generalized technique with a specific critical routine to perform a mastopexy with or without implants; as well as, a retrospective, comparative study of the case practice with the different variables studied. The records of 149 patients operated on in a private hospital between 2015 to 2019. They are classified into three surgical groups. The difference in postoperative outcomes, compared to the surgical group is analyzed with the χ2 test, three showed statistic difference, according to the surgical group. Finally, an ordinal regression is performed to adjust the variable of aesthetic satisfaction due to the effect of confounding variables. Aesthetic satisfaction varies significantly according to the mastopexy technique used (p < 0.001). The 75 patients with pure mastopexy ≥ 66.6% were satisfied. Of the 26 patients with increased mastopexy, 16 ≥ 66.6% were satisfied and 10 ≥ 33.3-66.5% were satisfied. Of 48 with mastopexy with implant change, 17 ≥ 66.6% were satisfied, 21 of 33.3-66.5% and 10 < 33.3%. 56 postoperative complications were reported: three showed statistical difference according to the surgical group: dehiscence (p < 0.002), asymmetry (p < 0.006) and seroma (p < 0.020). We concluded that the recent evidence has shown that the needs of the patient can be met with the appropriate circumvertical technique that we use provided, the diagnosis of the patient and the surgical technique are appropriate for each case.


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